透视导航下骶髂关节螺钉固定治疗骨盆后环骨折  

Iliosacral screw placement of posterior pelvic ring fractures with fluoro-navigation

作　　者：罗从风[1] 胡承方[1] 周凯华[1] 曾炳芳[1] 

机构地区：[1]上海交通大学附属第六人民医院骨科,200233

出　　处：《中华创伤杂志》2008年第1期5-9,共5页Chinese Journal of Trauma

摘　　要：目的总结导航下骶髂关节螺钉固定在治疗骨盆后环骨折中的初步临床应用结果，探讨手术的应用价值及方法。方法2005年6—12月，采用透视导航设备行导航下骶髂关节螺钉固定术18例。结果手术中每枚空心钉放置平均时间为22．5min，平均透视时间为8．8s，螺钉置入一次性成功率为96．7％，术中出血量少。螺钉位置术后1年的满意率为96．7％，无感染及内固定失败等并发症发生。结论导航下行骶髂关节螺钉固定的手术方式，可以提高手术精确度，减少术中透视时间，降低术后并发症的产生。明确手术适应证、把握准确的入针点和方向，以及手术团队间的密切合作是提高手术质量的重要方法。Objective To investigate preliminary clinical application of iliosacral screw fixation under fluoro-navigation in the surgical treatment of posterior pelvic ring fractures. Methods From June to December in 2005, a fluoro-navigation system was used to guide the placement of 30 iliosacral screws for the fixation of posterior pelvic ring fractures in 18 cases. Results The average time for each iliosacral screw placement was 22.5 minutes, while the average time of X-ray exposure was 8.8 seconds, with successful insertion rate of 96.7% at the first time and minimal blood loss during the operation. Satisfaction rate at one year after screw placement was 96.7% , with no complications occurred. Conclusions Fluoro-navigation assisted iliosacral screw placement for posterior pelvic ring fractures makes the surgery more precise, safe and time-saving. X-ray exposure and complications are reduced at the same time. To raise the operation quality, we should make clear of the operation indication, pay attention to the entrance and direction of guide pin and strengthen the team cooperation.

关 键 词：骨盆 骶髂关节 骨折固定术 经皮 X线透视导航 

分 类 号：R687.3[医药卫生—骨科学]